Fudion Cream is indicated either alone or in combination with systemic therapy, in the treatment of primary and secondary skin infections caused by sensitive strains of Staphylococcus aureus, Streptococcus spp and Corynebacterium minutissimum. Primary skin infections that may be expected to respond to treatment with fusidic acid applied topically include: impetigo contagiosa, superficial folliculitis, sycosis barbae, paronychia and erythrasma; also such secondary skin infections as infected eczematoid dermatitis, infected contact dermatitis and infected cuts/abrasions.

Posology
Adults and Paediatric population
Uncovered lesions - apply gently three or four times daily.
Covered lesions - less frequent applications may be adequate.
Method of administration
Cutaneous use

Bacterial resistance among staphylococcus aureus has been reported to occur with the use of topical . As with all antibiotics, extended or recurrent use may increase the risk of developing antibiotic resistance.
Extended or recurrent use may increase the risk of developing contact sensitisation. Fudion cream contains butylhydroxytolven, cetyl alcohol. These excipients may cause local skin reactions (e.g. contact dermatitis). Butylhydroxyanisole may also cause irritation to the eyes and mucous membranes. Fudion cream should therefore be used with care when applied in the proximity of the eyes. Instruct patients not to smoke or go near naked flames – risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.

No interaction studies have been performed. Interactions with systemically administered medicinal products are considered minimal as the systemic absorption of topical Fudion is negligible.

Pregnancy: No effects during pregnancy are anticipated, since systemic exposure to topicallyapplied fusidic acid/sodium fusidate is negligible. Topical Fudion can be used during pregnancy.
Breast-feeding: No effects on the breast-fed new-born/infant are anticipated since the systemic exposure of topically-applied fusidic acid/sodium fusidate to the breast-feeding woman is negligible. Topical Fudion can be used during breast-feeding but it is recommended to avoid applying topical Fudion on the breast.
Fertility: There are no clinical studies with topical Fudion regarding fertility. No effects in women of childbearing potential are anticipated, since systemic exposure following topicallyapplied fusidic acid/sodium fusidate is negligible.

Fudion administered topically has no or negligible influence on the ability to drive and use machines.

The estimation of the frequency of undesirable effects is based on a pooled analysis of data from clinical trials and from spontaneous reporting.
Based on pooled data from clinical studies including 4724 patients who received Fudion cream or Fudion ointment, the frequency of undesirable effects is 2.3%. The most frequently reported adverse reactions during treatment are various skin reactions such as pruritus and rash, followed by application site conditions such as pain and irritation, which all occurred in less than 1% of patients.
Hypersensitivity and angioedema have been reported.
Undesirable effects are listed by MedDRA System Organ Class (SOC) and the individual
undesirable effects are listed, starting with the most frequently reported. Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.
Very common ≥1/10
Common ≥1/100 and <1/10
Uncommon ≥1/1,000 and <1/100
Rare ≥1/10,000 and <1/1,000
Very rare <1/10,000

Immune system disorders
Rare 
Hypersensitivity
Eye disorders
Rare 
Conjunctivitis
Skin and subcutaneous tissue disorders
Uncommon
Dermatitis (including dermatitis contact, eczema)
Rash*
Pruritus
Erythema
*Various types of rash reactions such as erythematous, pustular, vesicular, maculo-papular and papular have been reported. Rash generalised has also occurred.
Rare
Angioedema
Urticaria
Blister
General disorders and administration site conditions
Uncommon
Application site pain (including skin burning sensation)
Application site irritation
Paediatric population: Frequency, type and severity of adverse reactions in children are expected to be the same as in adults.

Overdose is unlikely to occur
Unless hypersensitivity to Fusidic acid or any of the excipients exists, accidental ingestion of Fudion cream is unlikely to cause any harm. The total quantity of fusidic acid (Fudion cream contains fusidic acid) will usually not exceed the approved total daily oral dose of fusidic acid containing products except in children aged less than 1 year and weighing ≤ 10 kg. Although in this instance a child of this particular age group is unlikely to ingest a whole tube of Fudion cream. The concentration of the excipients is too low to constitute a safety risk.

Pharmacotherapeutic group: Other antibiotics for topical use, ATC code: D06AX01
Fusidic acid is a potent antibacterial agent. Fusidic acid and its salts show fat and water solubility and strong surface activity and exhibit unusual ability to penetrate intact skin. Concentrations of 0.03 - 0.12 mcg fusidic acid per ml inhibit nearly all strains of Staphylococcus aureus. Topical application of fusidic acid is also effective against streptococci, corynebacteria, neisseria and certain clostridia.

In vitro studies show that fusidic acid can penetrate intact human skin. The degree of penetration depends on factors such as the duration of exposure to fusidic acid and the condition of the skin. Fusidic acid is excreted mainly in the bile with little excreted in the urine.

There are no pre-clinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC.

Propylene glycol,
Sodium Dihydrogen Phosphate Dihydrate,
Methyl Hydroxybenzoate,
Propyl Hydroxybenzoate,
White Soft Paraffin,
Light liquid Paraffin,
Cetostearyl Alcohol,
Cetomacrogol Emulsifying Wax,
Isopropyl Alcohol,
Butylated Hydroxyanisole,
Purified water

Not applicable.

Store below 30°C

Alu Collapsible Tube 15 g (1 × 15 g)

None